Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Physician and health system integration.

Peter P Budetti1, Stephen M Shortell, Teresa M Waters

  • 1University of California Berkeley, School of Public Health, USA.

Health Affairs (Project Hope)
|March 20, 2002
PubMed
Summary

Many health systems struggle with physician alignment despite incentives for integration. Systems often prioritize structural changes over physician needs, highlighting a gap in effective healthcare integration strategies.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Lean management of crisis response and post-pandemic outcomes in US primary care practices.

BMC health services research·2026
Same author

Vertical Integration-The Upside Potential.

JAMA network open·2026
Same author

Innovation Culture Declines Drive Exnovation of Patient Engagement Strategies in Primary Care.

Journal of general internal medicine·2026
Same author

Improving care for older adults with multiple needs: the value of complexity science.

The Gerontologist·2026
Same author

The impact of the COVID-19 pandemic on oral anticoagulation adherence in patients with atrial fibrillation managed in primary care: Results from the PRIME Registry.

PloS one·2026
Same author

Adherence to oral endocrine therapy by menopausal status: post hoc insights from a remote monitoring randomized trial.

NPJ breast cancer·2026

Area of Science:

  • Healthcare Management
  • Health Services Research
  • Organizational Behavior

Background:

  • Vertical integration in healthcare is driven by policy incentives.
  • Hospitals are consolidating into health systems to align with physicians.
  • Physician-system alignment is a stated goal for many healthcare organizations.

Purpose of the Study:

  • To evaluate the effectiveness of physician-system alignment in organized delivery systems.
  • To identify factors contributing to or hindering alignment between health systems and physicians.
  • To understand the impact of policy changes on healthcare integration.

Main Methods:

  • Study of fourteen organized delivery systems.
  • Inclusion of 11,000 physicians across sixty-nine medical groups.

Related Experiment Videos

  • Analysis of structural relationships and physician-reported priorities.

    • Main Results:

    • Many health systems exhibit poor alignment with their affiliated physicians.
    • Emphasis on structural relationships did not significantly improve physician-system alignment.
    • Systems inadequately addressed issues critical to physician satisfaction and engagement.

    Conclusions:

    • A significant gap exists between the intended and actual physician-system alignment.
    • Policy shifts may inadvertently create challenges for effective healthcare integration.
    • Health systems need to focus on physician-centric issues for successful alignment.